First Norwegian case of hereditary ATTR amyloidosis with a novel transthyretin variant.

IF 1.2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Camilla Simonsen Lyng, Einar Gude, Anders Hodt, Eva Cecilie Knudsen
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引用次数: 0

Abstract

An earlier healthy 64-year-old man with previous surgery for bilateral carpal tunnel syndrome (CTS) in his 50s, presented with dyspnoea on exertion. Cardiac amyloidosis was suspected due to "red flag" signs and symptoms. Further investigations with scintigraphy and genetic testing confirmed the diagnosis of hereditary ATTR variant (ATTRv) amyloidosis. This is the first case report of ATTRv amyloidosis in a patient of Norwegian origin and is caused by the mutation E54A (p.E74A) in the transthyretin (TTR) gene. This mutation is previously not reported in international databases. Transthyretin amyloid cardiomyopathy (ATTR-CM) is an underdiagnosed disease with a poor prognosis. Early recognition remains essential to afford the best treatment efficacy.

挪威首例遗传性ATTR淀粉样变伴新型转甲状腺素变异。
一名早期健康的64岁男性,50多岁时曾接受过双侧腕管综合征(CTS)手术,表现为运动时呼吸困难。心脏淀粉样变性被怀疑是由于“危险信号”的体征和症状。闪烁扫描和基因检测的进一步研究证实了遗传性ATTR变体(ATTRv)淀粉样变性的诊断。这是首例挪威裔患者的ATTRv淀粉样变性病例报告,由转甲状腺素(TTR)基因中的E54A(p.E74A)突变引起。这种突变以前没有在国际数据库中报道过。转甲状腺素淀粉样心肌病(ATTR-CM)是一种诊断不足、预后不良的疾病。早期认识对于提供最佳治疗效果仍然至关重要。
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来源期刊
Scandinavian Cardiovascular Journal
Scandinavian Cardiovascular Journal 医学-心血管系统
CiteScore
3.40
自引率
0.00%
发文量
56
审稿时长
6-12 weeks
期刊介绍: The principal aim of Scandinavian Cardiovascular Journal is to promote cardiovascular research that crosses the borders between disciplines. The journal is a forum for the entire field of cardiovascular research, basic and clinical including: • Cardiology - Interventional and non-invasive • Cardiovascular epidemiology • Cardiovascular anaesthesia and intensive care • Cardiovascular surgery • Cardiovascular radiology • Clinical physiology • Transplantation of thoracic organs
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